Prominent Bilateral Hand Tremor in Hashimoto's Encephalopathy: A Video Demonstration.
| Autor: | Ramcharan K; Neurology Unit, San Fernando Teaching Hospital, University of the West Indies, San Fernando, Trinidad and Tobago., Hosein N; Neurology Unit, San Fernando Teaching Hospital, University of the West Indies, San Fernando, Trinidad and Tobago., Teelucksingh JD; Endocrinology Unit, San Fernando Teaching Hospital, University of the West Indies, San Fernando, Trinidad and Tobago., Rampersad F; Interventional Radiology, University of the West Indies, St Augustine, Trinidad and Tobago; Department of Clinical Medical Sciences, University of the West Indies, St Augustine, Trinidad and Tobago., Teelucksingh S; Department of Clinical Medical Sciences, University of the West Indies, St Augustine, Trinidad and Tobago. |
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| Jazyk: | angličtina |
| Zdroj: | Tremor and other hyperkinetic movements (New York, N.Y.) [Tremor Other Hyperkinet Mov (N Y)] 2016 Oct 12; Vol. 6, pp. 419. Date of Electronic Publication: 2016 Oct 12 (Print Publication: 2016). |
| DOI: | 10.7916/D8PV6KJB |
| Abstrakt: | Background: Hashimoto's encephalopathy often presents with neuropsychiatric manifestations including seizures and movement disorders. Case Report: We describe a patient who presented with bilateral hand tremor and mild cognitive defects that fulfilled the criteria for a diagnosis of Hashimoto's encephalopathy. There was a rapid response to glucocorticoid therapy with relapse following treatment withdrawal. Discussion: Recently published clinical criteria for the diagnosis of Hashimoto's encephalopathy include seizures, myoclonus, hallucinations, or stroke-like episodes but do not include tremor. Our case had mild cognitive dysfunction and a coarse tremor as the predominant clinical features, which probably represent mild disease. Competing Interests: Funding: None. Conflict of Interest: None. Ethics Statement: Patients that appear on video have provided written informed consent; authorization for the videotaping and for publication of the videotape was provided. |
| Databáze: | MEDLINE |
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